LARRY D DAVIS

WOODBRIDGE, VA
NPI1447023544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0734005487)
Enumeration Date2023-11-01
Last Update Date2023-11-01
Business Address
LARRY D DAVIS
13601 OFFICE PL STE 201
WOODBRIDGE, VA 22192-4213
Phone number: 703-492-8939
Mailing Address
LARRY D DAVIS
2463 CLOVER FIELD CIR
HERNDON, VA 20171-4313
Phone number: 412-326-5087